Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sophia Cohen (NPI 1417453002)

Field	Value
Entity Type	Individual
Organization	Sophia Cohen
Address	770 Kapiolani Blvd Ste 705
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 3, 2018

Payer Source	Total Paid
Medicare	$67.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	220	$130	$29.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	130	$170	$23K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	140	$90	$12.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30	$50	$1.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	140	$10	$820

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Sophia Cohen — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	11	190	100	$130	$14.5K
99291	26	280	40	$170	$10.4K
99284	11	210	50	$90	$5.3K
99283	23	80	20	$50	$1.1K
93010	45	210	70	$10	$720

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sophia Cohen, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Melissa Schmidt	HI	Emergency Medicine Physician	$64.9K	$0
Derek Uemura	HI	Emergency Medicine Physician	$57.7K	$0
Taichi Imamura	HI	Emergency Medicine Physician	$56.6K	$0
Wynn Wakuzawa	HI	Emergency Medicine Physician	$48.2K	$0
Gregory Suares	HI	Emergency Medicine Physician	$47.8K	$0
Kyle Perry	HI	Emergency Medicine Physician	$47.6K	$0
Michael Shin	MN	Emergency Medicine Physician	$46.6K	$0
Ajay Bhatt	HI	Emergency Medicine Physician	$44.4K	$0
Alexandra Ditullio	HI	Emergency Medicine Physician	$21.6K	$0

Sophia Cohen — Billing Profile & Reimbursement Data

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Sophia Cohen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References